NPI | 1710985502 |
---|---|
Other Name | EDGARDO J ORTIZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: PR 6882) |
Additional Taxonomies | 174400000X Specialist (Licence: PR 6882) |
Enumeration Date | 2005-07-14 |
Last Update Date | 2016-07-12 |